Individual provider Active NPI

Madelaine M Pyatt, PA-C

  • Physician Assistant
  • Federal Way, WA
National Provider Identifier
1184344038
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61484043 Issued in WA
Practice address
31405 18TH Ave S
Federal Way, WA 98003-5433
Phone
(253) 681-6600
Fax
(253) 681-6645
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61484043 WA Primary

Addresses

Primary practice location

31405 18TH Ave S
Federal Way, WA 98003-5433

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other identifiers 1

IdentifierTypeStateIssuer
2265687MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108003451 WA Practitioner - Physician Assistant 8729435078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

233 2ND Ave S
Kent, WA 98032-5852
Phone (206) 436-6380

31405 18TH Ave S
Federal Way, WA 98003-5433
Phone (253) 681-6600

8720 14TH Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Oct 13, 2023 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 13, 2023 Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients

Locations

31405 18th Ave S
Federal Way, WA 98003
Phone (253) 681-6600

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1184344038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31405 18TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035433",
            "telephone_number": "253-681-6600",
            "fax_number": "253-681-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYATT",
        "first_name": "MADELAINE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61484043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2265687",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.